Evidence map›Paper›PMID 35439303›Full record

Trial reportBlood advances2022

Rivaroxaban for the treatment of noncirrhotic splanchnic vein thrombosis: an interventional prospective cohort study.

Walter Ageno, Jan Beyer Westendorf, Laura Contino, Eugenio Bucherini, Maria Teresa Sartori, Marco Senzolo, Elvira Grandone, Rita Santoro, Marc Carrier, Aurélien Delluc and 12 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02627053 (Treatment of Portal, Mesenteric, and Splenic Vein Thrombosis With Rivaroxaban. A Pilot, Prospective Cohort Study), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
11.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02627053 phase3unknown statusnot on this map

Treatment of Portal, Mesenteric, and Splenic Vein Thrombosis With Rivaroxaban. A Pilot, Prospective Cohort Study

TypeinterventionalSponsorUniversità degli Studi dell'InsubriaRan2015 to 2019Enrolled100ConditionsPortal Vein Thrombosis, Mesenteric Vein Thrombosis, Splenic Vein ThrombosisArmsrivaroxaban
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Effect of Direct Oral Anticoagulants in Patients with Splanchnic Vein Thrombosis: A Systematic Reviews and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Venous Thromboembolism in Unusual Locations.The Medical clinics of North America · 2025
    Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Portal Vein Thrombosis: State-of-the-Art Review.Journal of clinical medicine · 2024
    Review
  18. Article
  19. Article
  20. How to manage splanchnic vein thrombosis in patients with liver disease.Hematology. American Society of Hematology. Education Program · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 17 institutions in 5 countries.

Walter AgenoDepartment of Medicine and Surgery, University of Insubria and Ospedale di Circolo Fondazione Macchi, Varese, Italy.ORCID 0000-0002-1922-8879
Jan Beyer WestendorfDresden University Hospital, Dresden, Germany.
Laura ContinoAzienda Ospedaliera SS. Antonio e Biagio, Alessandria, Italy.
Eugenio BucheriniOspedale di Faenza, AUSL Romagna, Ravenna, Italy.
Maria Teresa SartoriClinical Medicine, Azienda Ospedaliera Universitaria di Padova, Padova, Italy.
Marco SenzoloMultivisceral Transplant Unit-Gastroenterology, Azienda Ospedaliera Universitaria di Padova, Padova, Italy.
Elvira GrandoneThrombosis and Haemostasis Unit, Fondazione IRCCS "Casa Sollievo della Sofferenza", S. Giovanni Rotondo, Italy.ORCID 0000-0002-8980-9783
Rita SantoroAzienda Ospedaliera Pugliese-Ciaccio, Catanzaro, Italy.ORCID 0000-0002-5081-8201
Marc CarrierOttawa Hospital Research Institute, Department of Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID 0000-0001-8296-2972
Aurélien DellucOttawa Hospital Research Institute, Department of Medicine, University of Ottawa, Ottawa, ON, Canada.
Valerio De StefanoSection of Hematology, Department of Radiological and Hematological Sciences, Catholic University, Fondazione Policlinico Gemelli IRCCS, Rome, Italy.ORCID 0000-0002-5178-5827
Fulvio PomeroOspedale Michele and Pietro Ferrero, Verduno, Cuneo, Italy.ORCID 0000-0003-0991-2615
Marco Paolo DonadiniDepartment of Medicine and Surgery, University of Insubria and Ospedale di Circolo Fondazione Macchi, Varese, Italy.
Alberto TosettoHematology Department, S. Bortolo Hospital, Vicenza, Italy.ORCID 0000-0002-0119-5204
Cecilia BecattiniUniversity of Perugia, Perugia, Italy.
Ida MartinelliIRCCS Fondazione Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.
Barbara NardoOspedale di Busto Arsizio, Busto Arsizio, Italy.
Laurent BertolettiCHU de St-Etienne, Service de Médecine Vasculaire et Thérapeutique; INSERM, UMR1059, Université Jean-Monnet, INSERM, CIC-1408, CHU de Saint-Etienne; INNOVTE, CHU de Saint-Etienne, Saint-Étienne, France.
Marcello Di NisioUniversity "G. d'Annunzio" of Chieti-Pescara, Chieti, Italy.
Alejandro Lazo-LangnerWestern University, London, ON, Canada.ORCID 0000-0001-6869-8431
Alessandro SchenoneOspedale Galliera, Genoa, Italy; and.
Nicoletta RivaFaculty of Medicine and Surgery, University of Malta, Msida, Malta.ORCID 0000-0002-8922-8823
Azienda Ospedale - Università Padova · ITUniversity of Insubria · ITUniversity of Ottawa · CAAgostino Gemelli University Polyclinic · ITAzienda Ospedaliera Pugliese Ciaccio · ITEnte Ospedaliero Ospedali Galliera · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITInserm · FROspedale di Circolo di Busto Arsizio · ITOspedale per gli Infermi · ITOspedale San Bortolo · ITOspedale San Pietro Fatebenefratelli · ITUniversity of Chieti-Pescara · ITUniversity of Foggia · ITUniversity of Malta · MTUniversity of Perugia · ITWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heparins and vitamin K antagonists are the mainstay of treatment of splanchnic vein thrombosis (SVT). Rivaroxaban is a potential alternative, but data to support its use are limited. We aimed to evaluate the safety and efficacy of rivaroxaban for the treatment of acute SVT. In an international, single-arm clinical trial, adult patients with a first episode of noncirrhotic, symptomatic, objectively diagnosed SVT received rivaroxaban 15 mg twice daily for 3 weeks, followed by 20 mg daily for an intended duration of 3 months. Patients with Budd-Chiari syndrome and those receiving full-dose anticoagulation for >7 days prior to enrollment were excluded. Primary outcome was major bleeding; secondary outcomes included death, recurrent SVT, and complete vein recanalization within 3 months. Patients were followed for a total of 6 months. A total of 103 patients were enrolled; 100 were eligible for the analysis. Mean age was 54.4 years; 64% were men. SVT risk factors included abdominal inflammation/infection (28%), solid cancer (9%), myeloproliferative neoplasms (9%), and hormonal therapy (9%); 43% of cases were unprovoked. JAK2 V617F mutation was detected in 26% of 50 tested patients. At 3 months, 2 patients (2.1%; 95% confidence interval, 0.6-7.2) had major bleeding events (both gastrointestinal). One (1.0%) patient died due to a non-SVT-related cause, 2 had recurrent SVT (2.1%). Complete recanalization was documented in 47.3% of patients. One additional major bleeding event and 1 recurrent SVT occurred at 6 months. Rivaroxaban appears as a potential alternative to standard anticoagulation for the treatment of SVT in non-cirrhotic patients. This trial was registered at www.clinicaltrials.gov as #NCT02627053 and at eudract.ema.europa.eu as #2014-005162-29-36.

Indexed as

RivaroxabanVenous ThrombosisAdultAnticoagulantsFemaleHemorrhageHumansMaleMiddle AgedProspective StudiesSplanchnic CirculationAnticoagulantsRivaroxaban

Identifiers

PMID35439303
PMCPMC9631568
OpenAlexW4224293251

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.